Provider First Line Business Practice Location Address:
26400 LAHSER RD
Provider Second Line Business Practice Location Address:
STE 200 MICHIGAN EVALUATION GROUP HOOPER EVALUATIONS
Provider Business Practice Location Address City Name:
SOUTHFIELD
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48033-2624
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-356-0500
Provider Business Practice Location Address Fax Number:
248-356-2795
Provider Enumeration Date:
03/19/2007